RESULTS OF TYPE-III SUPRACONDYLAR FRACTURE HUMERUS WITH OPEN REDUCTION AND INTERNAL FIXATION IN CHILDREN AFTER FAILED CLOSED REDUCTION
Abstract
Background: Supracondylar fracture of humerus is the second most common fracture in childrenwhich account for 60–75% of all fractures around the elbow. There are various treatment modalitiesfor type-III fracture, i.e., closed reduction and casting, skeletal traction, close reduction andpercutaneous pinning and open reduction and internal fixation. This study was conducted to see theoutcome of open reduction and internal fixation after failed closed reduction. Methods: This studywas conducted in the Orthopaedics Departments of Khyber Teaching Hospital Peshawar and AyubTeaching Hospital Abbottabad from February 2007 to Nov 2007 on 30 children. Patients includedwere of either gender with age range from 5–12 years with displaced supracondylar fracture (typeIII) after failed closed reduction. All fractures were fixed with two cross K-wires by open reductionand internal fixation. The patients were assessed both clinically and radiologically and results weretabulated according to Flynn criteria. Results: Twenty-eight patients had excellent results while twohad good results according to Flynn criteria. None of the patients had either fair or poor result.Conclusion: Open reduction and internal fixation is a good and reliable method after failed closedreduction and gives stable fixation with anatomical alignment.Keywords: Type-III Supracondylar fracture, open reduction and internal fixationReferences
Eliason EL. Dressing for supracondylar fractures of humerus.
JAMA 1924;82:1934–5
Wilson PD. Fractures and dislocation in the region of elbow.
Surg Gynecol Obstet 1933;56:335–59.
Cekanauskas E, Degliūte R, Kalesinskas RJ. Treatment for
supracondylar humerus fractures in children,according to
Gartland classification. Medicina 2003;39:379–83.
Henrikson B. Supracondylar fracture of humerus in children.
Acta chir Scand Suppl 1966;369:1–72.
Gillingham BL, Rang M. Advaces in children elbow fractures
(editorial). J Pediatrr Orthop 1995;15:419–21.
Shim JS, Lee YS. Treatment of completely displaced fracture of
the humerus in children by cross-fixation with three K-Wires. J
Pedtiatr Orthop 2002;22(1):12–6.
Gartland JJ. Management of supracondylar fracture of humerus
in children. Surg Gynecol Obstet 1959;109:145–54.
Davis RT, Gorczyca JT, Pugh K. Suprracondylar humerus
fractures in children. Comparison of operative treatment
methods. Clin Orthop Relat Res 2000;376:49–55.
Shim JS, Lee YS. Treatment of completely displaced
supracondylar fracture of humerus in children by cross-fixation
with three kirschner wires. J Pediatr Orthop 2002;22(1):12–6.
Lee SS, Mahar AT, Miesen D, Newton PO. Displaced pediatric
supraconular humerus fractures: Biomechanical analysis of
percutaneous pinning techniques. J Pediatr Orthop
;22(4):440–3.
Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT.
Operative treatment of supracondylar fractures of humerus in
children. The consequences of pin placement. J Bone Joint Surg
Am. 2001;83:735–40.
Flynn JC. Mattews JG. Beriot RL. BUCD pinning of displaced
supracondylar fracture of humerus in children. J Bone Joint Surg
;56-A:263–72.
O, Hara IJ. Barlow JW. Clarke NM. Displaced supracondylar
fractures of the humerus in childrens. Audit changes practice. J
Bone Joint Surg Br 2000;82:204–10.
Mostafavi HR. Spero C. Cross pin fixation of displaced
supracondylar humerus fracture in children. Clin Orthop
;376:56–61.
Minkowitz B. Busch MT. Supracondylar fracture of humerus.
Current trends and controversies. Orthop Clin North Am
;25:581–94.
Ababneh M. Shannak A, Agabi S, Hadadi S.The treatment of
displaced supracondylar fractures of the humerus in children. A
comparison of three methods. Int Orthop 1998;22:263–5.
Umar M, DeSousa OP. Supracondylar fractures of humerus in
children. An analysis of different treatment modalities at the Aga
Khan University Hospital Karachi. Pakistan. Pak J Surg
;7:16–22.
Diri B, Tomak Y, Karaismailoglu TN. The treatment of displaced
fractures of the humerus in children (an evalution of three
different treatment methods). Ulus Trauma Derg 2003;9(1):62–9.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
